Charlene A Davis

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

306 Windmere St
Henderson, NV 89074-5950

Phone

(702) 469-1597

NPI assigned

Feb 27, 2018

Last updated

Dec 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forward Impressions, LLC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1295368041
  NPD Authorized official
• Forward Impressions, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1922593797
  NPD Authorized official
• Tru Companion Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
  • NPI 1154125409
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1023519709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 KEY LARGO DR UNIT 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891205260",
            "telephone_number": "702-469-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WINDMERE ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745950",
            "telephone_number": "702-469-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARLENE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josefina Davila Lopez
• Rebecca Davila, HHP
• Anunique Lashay Davis-Robinson
• Alice Jean Davis
• Brian Steven Davis, MD
• Cheryl Ann Davis, MA
• Christy Leigh Davis, RDH
• Dawnielle Davis
• Donna Jean Davis
• Jeannette Davis

• Behavior Analyst in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.